Improving the neuromuscular fitness of patients with type 2 diabetes by aquatic exercise training - The Diabetes and Aquatic Training Study (DATS 3): a randomized controlled trial.

BACKGROUND: To compare the effects of aquatic aerobic and combined training on neuromuscular outcomes in patients with type 2 diabetes. METHODS: Patients with type 2 diabetes were randomized to an aerobic aquatic training (AERO), a combined aquatic training (COMBI) or a procedure control (CON) three weekly for 15 weeks. The sessions were 50 minutes long. Maximal strength and muscle endurance were assessed by the 1RM and maximum repetitions at 60% 1RM tests, respectively, in knee extension and elbow flexion exercises. Timed up and go test, testosterone, cortisol and testosterone:cortisol ratio also were evaluated. RESULTS: Participants had 59.0±8.2 years, 51% women. All groups increased (P<0.001) the maximal knee extension strength (Mean Difference: AERO: 21.1 kg; COMBI: 14.6 kg; CON: 4.4 kg), while only COMBI group increased (P<0.001) the maximal elbow flexion strength (Mean Difference: 2.6 kg). Muscle endurance in both exercises were increased in all groups. The Timed Up and Go test at the usual and maximal speed decreased in all groups. Testosterone were not modified in present study, while cortisol and testosterone:cortisol were improved in COMBI group. CONCLUSIONS: Aquatic training, especially combined aquatic training, improve the neuromuscular fitness of patients with type 2 diabetes.

Is There a Relationship Between Birth Quartile and Vertical Jump Performance Among Young Male Elite Volleyball Athletes?

Vertical jump is an important skill that influences volleyball performance. In this study, we analyzed the relationship between vertical jump performance and birth quartile of Brazilian male youth volleyball players. We calculated chi-square goodness-of-fit tests to compare the athletes' birthdate distributions in quarters of their birth years (Q1, Q2, Q3, and Q4) according to player age categories (U17, U18, U19, and U21). We calculated one-way ANOVAs to compare spike jump and block jump heights of players born in different quarters of the same year. Overall, we found a relative age effect (i.e., more players with birth dates early in the birth year) in U17 (p < .001), U18 (p < .001), U19 (p < .001), and U21 (p = .04). Regarding vertical jump performance, U18 athletes born in Q2 reached higher spike jump heights (p = .006) and block jump heights (p = .002) than athletes born in Q4, and U19 athletes born in Q1 reached higher block jump heights than athletes born in Q3 (p = .049). There were no significant differences in vertical jump performance across birth quartiles among U17 and U21 athletes. Thus, a relative age effect was present in all age categories but not always reflected in vertical jump performance. Volleyball coaches and policymakers are still advised to employ strategies to ensure fairer opportunities for players born later in the year of their eligibility dates, as we found RAE to be sometimes, but not always, related to higher spike or block jump heights even among these older adolescents and young adult athletes.

Comparison of international height and BMI-for-age growth references and their correlation with adiposity in Brazilian schoolchildren.

This study verified the diagnostic accuracy of the nutritional status classified by the international height and BMI references of the World Health Organization (WHO) (WHO/2007), International Obesity Task Force (IOTF/2012) and MULT (2023). The data pool was composed by 22 737 subjects aged five to 16 years from the Santos and Porto Alegre surveys. A correlation matrix between the z-scores of the BMI references and the skinfold measurements was calculated through the Pearson correlation coefficient (r), and the subject's nutritional status was classified according to the international growth references. The accuracy for diagnosing obesity was performed separately by sex and using the 95th percentile of the triceps and subscapular skinfold sum, while Lin's concordance coefficient, Bland-Altman method and the Cohen's Kappa coefficient (Kappa) were used to verify the concordance and reliability among the BMI references. The correlation matrix showed a high positive correlation among the BMI z-scores (r ≥ 0·99) and among the skinfold measurements (r ≥ 0·86). The prevalence of stunting was higher when applying the MULT reference (3·4 %) compared with the WHO reference (2·3 %). The Bland-Altman plots showed the lowest critical difference (CD) between the height references of WHO and MULT (CD = 0·22). Among the BMI references, the WHO obesity percentile presented lower performance than MULT for boys, presenting a lower +LR value (WHO = 6·99/MULT 18 years = 10·99; 19 years = 8·99; 20 years = 8·09) for the same -LR values (0·04). Therefore, MULT reference holds promise as a valuable tool for diagnosing childhood obesity, particularly when considering sex differences. This enhances its suitability for assessing the nutritional status of Brazilian schoolchildren.

Energetic responses of head-out water immersion at different temperatures during post-exercise recovery and its consequence on anaerobic mechanical power.

PURPOSE: While exercise recovery may be beneficial from a physiological point of view, it may be detrimental to subsequent anaerobic performance. To investigate the energetic responses of water immersion at different temperatures during post-exercise recovery and its consequences on subsequent anaerobic performance, a randomized and controlled crossover experimental design was performed with 21 trained cyclists. METHOD: Participants were assigned to receive three passive recovery strategies during 10 min after a Wingate Anaerobic Test (WAnT): control (CON: non-immersed condition), cold water immersion (CWI: 20 â„ƒ), and hot water immersion (HWI: 40 â„ƒ). Blood lactate, cardiorespiratory, and mechanical outcomes were measured during the WAnT and its recovery. Time constant (τ), asymptotic value, and area under the curve (AUC) were quantified for each physiologic parameter during recovery. After that, a second WAnT test and 10-min recovery were realized in the same session. RESULTS: Regardless the water immersion temperature, water immersion increased [Formula: see text] (+ 18%), asymptote ([Formula: see text]+ 16%, [Formula: see text] + 13%, [Formula: see text] + 17%, HR + 16%) and AUC ([Formula: see text]+ 27%, [Formula: see text] + 18%, [Formula: see text] + 20%, HR + 25%), while decreased [Formula: see text] (- 33%). There was no influence of water immersion on blood lactate parameters. HWI improved the mean power output during the second WAnT (2.2%), while the CWI decreased 2.4% (P < 0.01). CONCLUSION: Independent of temperature, water immersion enhanced aerobic energy recovery without modifying blood lactate recovery. However, subsequent anaerobic performance was increased only during HWI and decreased during CWI. Despite higher than in other studies, 20 °C effectively triggered physiological and performance responses. Water immersion-induced physiological changes did not predict subsequent anaerobic performance.

Correlations between linear sprint with the ball, linear sprint without the ball, and change-of-direction without the ball in professional female soccer players.

The evolution of female soccer is related to the increase in high-intensity actions and choosing the abilities that best characterize the players' performance. Determining the capabilities that best describe the players' performance becomes essential for coaches and technical staff to obtain the results more efficiently within the competitive calendar. Thus, the study aimed to analyze the correlations between performance in the 20-m sprint tests with and without the ball and the Zigzag 20-m change-of-direction (COD) test without the ball in professional female soccer players. Thirty-three high-level professional female soccer players performed the 20-m sprint tests without a ball, 20-m sprint tests with the ball, and the Zigzag 20-m COD test without the ball. The shortest time obtained in the three trials was used for each test. The fastest time in the three trials was used for each test to calculate the average test speed. The Pearson product-moment correlation test was applied to analyze the correlation between the performance in the tests. Pearson's product-moment correlation test was used to analyze the correlation between the performance in the trials, with a significance level of α < 0.05. The average speed in the 20-m sprint tests with ball showed very large and significant correlations with the speed in the Zigzag 20-m COD test (r = 0.822; p < 0.001; 95% CI = 0.666 to 0.909). The 20-m sprint tests with ball and 20-m sprint tests without ball showed moderate, positive and significant correlation (r = 0.363; p = 0.038; 95% CI = 0.023-0.628). The tests of 20-m sprint tests without ball and Zigzag 20-m COD test also showed moderate, positive and significant correlation (r = 0.415; p = 0.016; 95% CI = 0.084-0.664). The female-female soccer players with a better ability to change direction may also have a better technical ability to drive the ball at high speed. However, they will not necessarily be the fastest in the linear sprint without the ball. Coaches and technical staff may choose to perform tests seeking efficiency and practicality, especially in a congested competitive period.

External Loads of Elite Soccer Referees: A Systematic Review with meta-analysis.

The objective of the present study was to describe the total and fragmented external loads, at different intensities, of soccer referees in European and South American competitions during official matches through a systematic review and meta-analysis of cross-sectional studies. A systematic review was conducted in April, 2020. In all, 32 studies were included, incorporating 578 referees evaluated in 3170 games through video analysis or a global positioning system. Regarding external loads, it was observed that the total average distance covered by the referees was 10,461.74 m, with running speeds predominantly below 13 km.h-1. The total distance covered by the referees in the European competitions was higher and more intense than that of the referees in the South American tournaments, being 11,187.02 m and 9319.61 m, respectively. We suggest that referees' training can be organized according to the distances found at different intensities, in which low-intensity races can be performed below 13 km.h-1 with distances of approximately 4500 m, while high-intensity training can be developed with speeds from 18 to 24 km.h-1 for approximately 800 m. In addition, planning must consider the competition characteristics.

Relationship between knee extensor and flexor muscle strength and age in professional volleyball players.

We aimed to analyse the relationship of peak torque (PT) of the knee extensors (Ext) and flexors (Fle) with age, and the relationship between conventional ratio and age progression in volleyball players. A total of 41 elite male volleyball players (age: 25.0 ± 6.1 years, body mass: 93.0 ± 9.8 kg, height: 198.0 ± 6.8 cm) were evaluated in a isokinetic dynamometer at speeds of 60, 180 and 300 deg/s, and at dominant (D) and non-dominant (ND) legs. In general, the knee flexor and extensor muscles varied greatly among the athletes (from 81 to 156 N.m for flexors; from 116 to 250 N.m for extensors at 300 deg/s and at dominant side). The mass-specific PT of knee extensors showed strong and negative correlation with ageing at 60 and 180 deg/s (r = -0.52-0.62, p < 0.01). The conventional ratio showed regular and positive relationship at all evaluated velocities (60°.s-1, r = 0.453, p < 0.01; 180°.s-1, r = 0.498, p < 0.01; 300°.s-1, r = 0.316, p = 0.04). The results demonstrated that volleyball players are susceptible to age-related effects on muscular performance during their career; this finding illustrates the importance of adopting training strategies to improve the production of strength in the lower limbs, which is essential for vertical jumps.

Effects of Postactivation Performance Enhancement on The Vertical Jump in High-Level Volleyball Athletes.

The objective of this study was to evaluate the effects of a training session with and without an intervention of postactivation performance enhancement (PAPE) on countermovement jump (CMJ) height, perceived recovery status (PRS), and ratings of perceived exertion (RPEs), followed by a specific volleyball training session. The sample consisted of sixteen professional male volleyball players, with an average age of 26.8±6.1 years and average height of 195.9±6.7 cm, randomly divided into a group with PAPE intervention (GPAPE) (n=8), and a control group (CTRL) without PAPE intervention (n=8). The control group carried out the training session with plyometric exercises, and the GPAPE added conditioning protocols for PAPE to plyometric training, followed by a technical tactical volleyball session. At the end of the training session, there was an increase of 16.3% in the height of the CMJ in the GPAPE, while the CTRL showed a decrease of 5% in the height of the CMJ. PRS and RPE variables did not differ between the groups. It was concluded that PAPE had a positive effect on the height of the vertical jump after plyometric training, which was maintained until the end of the technical and tactical volleyball session.

Aquatic Aerobic and Combined Training in Management of Type 2 Diabetes: The Diabetes and Aquatic Training Study (DATS): A Randomized Clinical Trial.

BACKGROUND: To compare the effects of aquatic aerobic and combined (aerobic more resistance) training on glycemic control and other cardiometabolic outcomes in patients with type 2 diabetes. METHODS: Patients were randomized to an aquatic aerobic training (AERO, n = 19; 57.5 [7.4] y; 9 [47%] women), or an aquatic combined training (COMBI, n = 19; 60.9 [7.4] y; 10 [53%] women), or an aquatic active procedure control (n = 19; 58.6 [9.7] y; 10 [53%] women) in 3 weekly sessions (50 min each), during 15 weeks. Glycated hemoglobin was the primary outcome, whereas insulin resistance markers, lipid profile, systemic inflammation, renin concentration, blood pressure, physical activity levels, and sitting time were secondary outcomes. RESULTS: Glycated hemoglobin was reduced in all groups (P = .021), although changes were more marked in AERO (-0.36%) and COMBI (-0.44%) than in active control (-0.26%) group. Lipid profile was similarly modified in all groups. Diastolic blood pressure and renin concentration were also reduced in all groups; however, renin showed more marked reductions in AERO (-17.7 uIU/mL) and COMBI (-15.1 uIU/mL) than in active control (0.2 uIU/mL) group. Fasting insulin, triglycerides, C-reactive protein, systolic blood pressure, walking time, and sitting time on weekends were not modified. CONCLUSION: AERO and COMBI presented similar effect to improve glycemic control and some cardiometabolic risk factors in patients with type 2 diabetes.

Mathematical models to identify high-performance players for the Brazilian under-19 men's volleyball team.

The objective of this study was to identify parameters that best discriminate between selected and non-selected players for the Brazilian under-19 men's volleyball team and propose mathematical models to identify high-performance players. To this end, 18 selected (16.89±0.96 years) and 138 non-selected (16.91±0.74 years) players for the under-19 team were assessed for the training profile, anthropometric profile, and physical performance level. The discriminant function analysis was used to build the models, with a significance of α<0.05. The spike jump reach showed a greater correlation with the discriminant scores obtained in the two models (r=0.701; r=0.782). The 10 variables included in Model 1 helped identify 88.9% of the players selected in their group of origin; Model 2 - obtained by the spike jump reach and duration of playing experience - identified 83.3% of the players selected. Therefore, coaches should be aware that differences between the selected and non-selected players are multi-factorial, with the spike jump reach being the most relevant assessment factor. Furthermore, good players for the selection can be identified using the two models: Model 1 promises greater success with ten assessments, whereas Model 2 allows the identification of suitable players for the under-19 men's volleyball team with only two simple assessments.

Does Complex Training Enhance Vertical Jump Performance and Muscle Power in Elite Male Volleyball Players?

PURPOSE: The authors aimed to compare the effects of 4 weeks jump versus complex training methods on lower limb muscle power and maximal isokinetic torque of knee extensors and flexors in elite male volleyball players. METHODS: Sixteen male volleyball players were allocated into 2 groups, jump training (n = 8; 27.0 [5.7] y, 94.3 [7.6] kg) and complex training (with induction of postactivation performance enhancement, n = 8; 26.6 [3.6] y, 94.2 [6.3] kg). All individuals performed jump training 2 sessions/wk, and the complex group received induction training with postactivation performance enhancement and jump training. RESULTS: After 4 weeks, an increase in countermovement jump height (jump: 49.0 [1.2] to 52.7 [2.1] cm and complex: 49.2 [1.1] to 53.3 [1.9] cm; P = .009) and power (jump: 29.5 [1.1] to 34.3 [1.4] W and complex: 30.4 [0.9] to 34.4 [1.08] W; P = .001) was observed without significant differences between groups and without significant group × time interaction (P > .05). Also, no significant difference was observed between and within groups for the isokinetic peak torque at low speeds (60 and 180°s), although total muscle work and knee extensor/flexor ratio increased from pretraining to posttraining at 300° seconds similarly in both groups. CONCLUSION: The findings indicate that jump performance and power, knee extensor/flexor ratio, and total muscle work increased after 4 weeks of jump and complex training. However, the inclusion of heavy resistance stimulus did not elicit any additional improvements in the vertical jump performance and isokinetic strength of elite volleyball players.

A comparison of the internal and external load demands imposed on professional soccer referees in FIFA's current model of physical test in relation to games.

BACKGROUND: Based on the need to investigate the demands imposed on referees in the current model of physical evaluation and during professional games, this study's objective was to compare these demands in the physical test versus the games. METHODS: Thus, it evaluated the heart rate, distance covered, time, and speed of all 14 referees in the physical test and during Brazil's first division state championship games using a Global Positioning System enabled heart rate monitor. RESULTS: The maximum heart rate (HRmax) and maximum speed were higher in the physical test (183.86±12.79 bpm) and (26.80±0.96 km/h), respectively, than in the games (170.25±17.71 bpm) (P=0.008) and (24.27±1.68 km/h) (P=0.001), respectively. In the HRmax zone ≥90 and ≤100%, the time and percentage distance were greater in the physical test (47.87±16.60% and 58.57±22.78%), respectively, than in the games (17.82±18.29% and 18.84±18.92%, respectively; P<0.001). However, in the speed zone <13 km/h, the time and the percentage distance were longer in the game (93.73±1.26% and 86.13±2.31%), respectively, than in the physical test (68.73±12.31% and 39.65±9.74%, respectively; P<0.001). CONCLUSIONS: Thus, it is concluded that the professional referees perform at greater intensities during the physical test than in the games. In contrast, the demands for intensities corresponding to aerobic metabolism are greater in games or equal to those in physical testing, depending on the intensity reference.

Effects of Aquatic Exercise on Muscle Strength in Young and Elderly Adults: A Systematic Review and Meta-Analysis of Randomized Trials.

ABSTRACT: Prado, AKG, Reichert, T, Conceição, MO, Delevatti, RS, Kanitz, AC, and Kruel, LFM. Effects of aquatic exercise on muscle strength in young and elderly adults: a systematic review and meta-analysis of randomized trials. J Strength Cond Res 36(5): 1468-1483, 2022-The effects of training in an aquatic environment on muscular strength are still contradictory in the literature. The aim was to conduct a systematic review and meta-analysis of randomized studies about muscle strength responses after a program of aquatic exercise. A systematic review followed the Cochrane and PRISMA recommendations. The search was performed between December 2015 and January 2016. There were no language restrictions, and PubMed, SCOPUS, Scielo, Cochrane, and PEDro databases were consulted. An analysis of eligibility of the studies was performed by 2 independent authors. The data extraction followed standard criteria, and an evaluation of methodological quality was performed. The statistical analysis was conducted in the Review Manager 5.1 software. The statistical heterogeneity was assessed by means of Cochran's Q test and by the inconsistency test (I2). The search found 2,563 articles, 27 were included, totaling a total n of 1,006 subjects. The analysis of the risk of bias demonstrated a lack of clarity of the randomization process, allocation concealment, blinding assessment, intention to treat analysis, and calculation of the sample in 70% or more of the studies analyzed. Meta-analysis demonstrated a significant increase in handgrip strength, in isometric peak torque (PT) of knee unilateral extension and flexion, and isokinetic PT (60°·s-1) of knee unilateral extension. Sensitivity analyses demonstrated that the positive effects of training in an aquatic environment may be dependent on factors such as age, velocity of movement, and use of device. Land-based and aquatic exercises seem to lead to similar muscle strength gains. Aquatic exercise should be recommended as a strategy to improve muscle strength, but new studies with better methodological quality should be conducted.

Maximum number of repetitions at different percentages of maximum strength in older men: a crossover study

Abstract Introduction: Based on the inverse relationship between the amount of weight lifted and the maximum number of repetitions (RM) performed, the intensity prescription method based on a percentage of maximum strength (%1RM) has been widely used in different populations, including older adults. However, considerable inter-individual variability in RM performed at a given %1RM has been reported in previous studies on this topic. Aim: To compare the number of repetitions performed at 60, 75, and 90%1RM in lower and upper limb resistance exercises in older adults. Methods: Fifteen men aged between 60 and 75 years performed two preliminary sessions (familiarization + and 1RM tests) and three experimental sessions (RM tests at 60, 75, and 90%1RM on knee extension and elbow flexion exercises). Movement velocity for each concentric and eccentric muscle action was 1.5-2 s. Statistical comparisons regarding the RM performed in each %1RM were tested using the Generalized Estimating Equations analysis. Results: The RM during knee extension exercise was significantly lower when compared to elbow flexion at 60% 1RM. On the other hand, the RM during knee extension exercise was significantly higher when compared to elbow flexion at 90%1RM. A similar number of repetitions at 75%1RM were performed in both exercises. Conclusion: Physically active older men can perform different RM at 60% and 90%1RM in knee extension and elbow flexion exercises, suggesting that the use of a specific RM range cannot be associated to the same percentage of 1RM in this individuals.

Heart rate profile and heart rate variability in volleyball athletes: a systematic review with meta-analyses

Abstract Background: Physiological parameters can be objectively measured for controlling and quantifying physical activity levels. Aims: This study aimed to systematically review the literature on volleyball athletes' profile regarding heart rate (HR) and HR variability (HRV). Methods: PubMed, Scopus, Embase and SportDiscus databases were searched to find studies presenting resting HR, maximal HR, mean HR and time domain HRV during training sessions and matches. Results: Volleyball athletes' profile was HRrest 66 ± 2.5 bpm (minimum 41 ± 10 bpm; maximum 82.4 ± 2.1 bpm), HRmax was 184 ± 1.3 bpm (minimum 170 ± 8.0 bpm; maximum 192 ± 3.0 bpm), HRtraining data was in average 150 ± 12 bpm (minimum 124.8 ± 6.2 bpm; maximum 171.5 ± 11.0 bpm) and mean HRmatch was 154 ± 5.5 bpm (minimum 105.3 ± 12.8 bpm; maximum 182.3 ± 5.2 bpm). The RR interval data resulting in a mean value of 1096 ± 4 ms (minimum 1027.6 ± 168.9 ms; maximum 1097.0 ± 59.5 ms) and the rMSSD index presented a mean value of 44 ± 14 ms (minimum 42.2 ± 19.8 ms; maximum 93.2 ± 65.8 ms). SDNN data were extracted, however, no meta-analysis was performed. Conclusion: Resting HR were high for the athletes' fitness level, maximal HR and RR intervals were very similar to athletes from other sports. Mean HR data do not seem to represent the real physical demand in matches and training. HRV time domain index showed low values and could be related to training loads or fatigue situations.

Statin Use Improves Cardiometabolic Protection Promoted By Physical Training in an Aquatic Environment: A Randomized Clinical Trial. / Uso de Estatinas Melhora a Proteção Cardiometabólica Promovida pelo Treinamento Físico em Ambiente Aquático: Um Ensaio Clínico Randomizado.

BACKGROUND: Statin use is highlighted as the most commonly utilized therapy for the treatment of dyslipidemias and can be considered as the most efficient pharmacological intervention for low-density lipoprotein (LDL) reduction. On the other hand, physical training can be considered an efficient and safe non-pharmacological strategy to promote improvements in lipid profile. However, the influence of statins on lipid adaptations arising from water-based training in populations with dyslipidemia is not known. OBJECTIVES: To analyze the influence of simvastatin use on lipid adaptations arising from water-based aerobics and resistance training in elderly women with dyslipidemia. METHODS: Sixty-nine elderly (66.13 ± 5.13 years), sedentary, and dyslipidemic women, both non-users and users of simvastatin (20 mg and 40 mg), were randomized into the following 3 groups: water-based aerobic training (WA), water-based resistance training (WR), and control group (CG). Total duration of interventions, for all experimental groups consisted of 10 weeks, with 2 weekly sessions. Biochemical analyses were performed before the beginning of the interventions and repeated after the end of the trial. Generalized estimating equations were used to compare these data, setting α = 0.05. RESULTS: In intention-to-treat analysis, the medicated participants obtained a greater magnitude of decrease in total cholesterol (TC) (-3.41 to -25.89 mg.dl-1; p = 0.038), LDL (-5.58 to -25.18 mg.dl-1; p = 0.007) and TC/HDL ratio (-0.37 to -0.61; p = 0.022) when compared to the non-medicated participants, and this decrease was statistically significant only in the WR group. CONCLUSIONS: Statin use enhances the adaptations promoted by water-based physical training in CT, LDL levels, and CT/HDL ratio, and it is more pronounced after WR.

FUNDAMENTO: O uso de estatinas destaca-se como a terapia mais frequentemente utilizada para o tratamento de dislipidemias e pode ser considerado a intervenção farmacológica mais eficiente para a redução da lipoproteína de baixa densidade (LDL). Por outro lado, o treinamento físico pode ser considerado uma estratégia não farmacológica eficiente e segura para promover melhorias no perfil lipídico. No entanto, não se sabe qual seria a influência das estatinas nas adaptações lipídicas decorrentes do treinamento aquático em populações com dislipidemia. OBJETIVOS: Analisar a influência do uso de sinvastatina nas adaptações lipídicas decorrentes do treinamento aeróbico em meio aquático e de resistência em mulheres idosas com dislipidemia. MÉTODOS: Sessenta e nove mulheres idosas (66,13 ± 5,13 anos), sedentárias e dislipidêmicas, tanto não usuárias quanto usuárias de sinvastatina (20 mg e 40 mg), foram randomizadas nos 3 grupos seguintes: treinamento aeróbico em meio aquático (WA), treinamento de força em meio aquático (WR) e grupo controle (GC). A duração total das intervenções, para todos os grupos experimentais, foi de 10 semanas, com 2 sessões semanais. As análises bioquímicas foram realizadas antes do início das intervenções e repetidas após o final do ensaio. Foram utilizadas equações de estimativa generalizada para comparar esses dados, estabelecendo α = 0,05. RESULTADOS: Na análise por intenção de tratar, as participantes medicadas demonstraram uma redução de magnitude maior do colesterol total (CT) (−3,41 a −25,89 mg.dl−1; p = 0,038), LDL (−5,58 a −25,18 mg.dl−1; p = 0,007) e da relação CT/HDL (−0,37 a −0,61; p = 0,022) quando comparadas às participantes não medicadas, essa redução sendo estatisticamente significativa apenas no grupo WR. CONCLUSÕES: O uso de estatina incrementa as adaptações promovidas pelo treinamento físico aquático no CT, nos níveis de LDL e na relação CT/HDL, sendo mais pronunciado após WR.

Rating of Perceived Exertion as a Method to Determine Training Loads in Strength Training in Elderly Women: A Randomized Controlled Study.

Objective: The aim of this study was to compare the effects of training using loads from a repetition maximum value (%1RM) and rating of perceived exertion (RPE) in elderly women. Methods: Twenty-five elderly women (60-75 years old) were randomly assigned to a group that trained using loads determined by 1RM test (G%; n = 12) or to a group that trained using loads determined by RPE (GPE; n = 13). Elderly women trained for 12 weeks using five exercises performed with 2-3 sets of 8-15 repetitions. Loads progressed from 45% to 75% of 1RM (G%) and from 13 to 18 from Rating Perceived Exertion of Borg Scale (GPE). The outcome measures, 1RM and maximum repetitions (RMs with 70% 1RM), were assessed before, between and after training programs. Results: Increased 1RM value and RMs were observed in both groups (20-42%, p < 0.001 and 56-76%, p < 0.001, respectively, for %G; and 17-56%, p < 0.001 and 47-106%, p < 0.001, respectively, for GPE), without differences between them. Conclusions: Prescribing loads using the RPE and 1RM might be similarly effective for training elderly women in order to promote strength gains. As a practical application, RPE could be an additional method to determine training loads. In spite of the promising results of the present study, it is not possible to state that the use of RPE is effective in monitoring loads during sub maximal strength training in elderly and more research must be carried out to confirm it.

Uso de estatinas melhora a proteção cardiometabólica promovida pelo treinamento físico em ambiente aquático: Um ensaio clínico randomizado / Statin use improves cardiometabolic protection promoted by physical training in an aquatic environment: A Randomized Clinical Trial

Resumo Fundamento: O uso de estatinas destaca-se como a terapia mais frequentemente utilizada para o tratamento de dislipidemias e pode ser considerado a intervenção farmacológica mais eficiente para a redução da lipoproteína de baixa densidade (LDL). Por outro lado, o treinamento físico pode ser considerado uma estratégia não farmacológica eficiente e segura para promover melhorias no perfil lipídico. No entanto, não se sabe qual seria a influência das estatinas nas adaptações lipídicas decorrentes do treinamento aquático em populações com dislipidemia. Objetivos: Analisar a influência do uso de sinvastatina nas adaptações lipídicas decorrentes do treinamento aeróbico em meio aquático e de resistência em mulheres idosas com dislipidemia. Métodos: Sessenta e nove mulheres idosas (66,13 ± 5,13 anos), sedentárias e dislipidêmicas, tanto não usuárias quanto usuárias de sinvastatina (20 mg e 40 mg), foram randomizadas nos 3 grupos seguintes: treinamento aeróbico em meio aquático (WA), treinamento de força em meio aquático (WR) e grupo controle (GC). A duração total das intervenções, para todos os grupos experimentais, foi de 10 semanas, com 2 sessões semanais. As análises bioquímicas foram realizadas antes do início das intervenções e repetidas após o final do ensaio. Foram utilizadas equações de estimativa generalizada para comparar esses dados, estabelecendo α = 0,05. Resultados: Na análise por intenção de tratar, as participantes medicadas demonstraram uma redução de magnitude maior do colesterol total (CT) (−3,41 a −25,89 mg.dl−1; p = 0,038), LDL (−5,58 a −25,18 mg.dl−1; p = 0,007) e da relação CT/HDL (−0,37 a −0,61; p = 0,022) quando comparadas às participantes não medicadas, essa redução sendo estatisticamente significativa apenas no grupo WR. Conclusões: O uso de estatina incrementa as adaptações promovidas pelo treinamento físico aquático no CT, nos níveis de LDL e na relação CT/HDL, sendo mais pronunciado após WR.

Abstract Background: Statin use is highlighted as the most commonly utilized therapy for the treatment of dyslipidemias and can be considered as the most efficient pharmacological intervention for low-density lipoprotein (LDL) reduction. On the other hand, physical training can be considered an efficient and safe non-pharmacological strategy to promote improvements in lipid profile. However, the influence of statins on lipid adaptations arising from water-based training in populations with dyslipidemia is not known. Objectives: To analyze the influence of simvastatin use on lipid adaptations arising from water-based aerobics and resistance training in elderly women with dyslipidemia. Methods: Sixty-nine elderly (66.13 ± 5.13 years), sedentary, and dyslipidemic women, both non-users and users of simvastatin (20 mg and 40 mg), were randomized into the following 3 groups: water-based aerobic training (WA), water-based resistance training (WR), and control group (CG). Total duration of interventions, for all experimental groups consisted of 10 weeks, with 2 weekly sessions. Biochemical analyses were performed before the beginning of the interventions and repeated after the end of the trial. Generalized estimating equations were used to compare these data, setting α = 0.05. Results: In intention-to-treat analysis, the medicated participants obtained a greater magnitude of decrease in total cholesterol (TC) (−3.41 to −25.89 mg.dl−1; p = 0.038), LDL (−5.58 to −25.18 mg.dl−1; p = 0.007) and TC/HDL ratio (−0.37 to −0.61; p = 0.022) when compared to the non-medicated participants, and this decrease was statistically significant only in the WR group. Conclusions: Statin use enhances the adaptations promoted by water-based physical training in CT, LDL levels, and CT/HDL ratio, and it is more pronounced after WR.

Exercise Training and Neuromuscular Parameters in Patients With Type 1 Diabetes: Systematic Review and Meta-Analysis.

BACKGROUND: The present study aimed to systematically review the literature on the effects of physical training on neuromuscular parameters in patients with type 1 diabetes mellitus (T1DM). METHODS: The PubMed, Scopus, EMBASE, and COCHRANE databases were accessed in September 2020. Clinical trials that evaluated the effects of physical training on neuromuscular parameters (maximum strength, resistance strength, muscle power, muscle quality, and muscle thickness) of patients with T1DM compared with a control group were considered eligible. The results were presented as the standardized mean difference with 95% confidence intervals. Effect size (ES) calculations were performed using the fixed effect method, with α = .05. RESULTS: Combined training increased the maximum strength levels in individuals with T1DM to a lesser extent than in healthy individuals (ES: 0.363; P = .038). Strength training increased the maximum strength (ES: 1.067; P < .001), as well as combined training (ES: 0.943; P < .001); both compared with aerobic training in patients with T1DM. Strength training increased the maximum strength in a similar magnitude to combined training in patients with T1DM (ES: -0.114; P = .624). CONCLUSION: Both combined training and strength training represent effective strategies for improving the maximum strength in individuals with T1DM.

Pilates training improves aerobic capacity, but not lipid or lipoprotein levels in elderly women with dyslipidemia: A controlled trial.

INTRODUCTION: The aim of the present study was to verify the effects of a Pilates training on total cholesterol (TC), triglycerides (TG), low-density lipoprotein (LDL), high-density lipoprotein (HDL), glucose and C-reactive protein (CRP) levels, as well as on functionality of postmenopausal women with dyslipidemia. METHOD: This randomized study involved 35 sedentary women with dyslipidemia, aged between 60 and 75 years. One group participated in a Pilates exercises training with two to four weekly sessions during 10 weeks (Pilates group, n = 20) and the other group did not perform any intervention (control group, n = 6). Biochemical analyses and functionality parameters were measured before and after the 10 weeks. RESULTS: No significant differences were observed in TC, TG, LDL and HDL for both groups. Regarding glucose and CRP levels, significant reductions were observed in both groups after the intervention period. In functional parameters, both groups significantly increased their 30-s chair stand test values. On the other hand, only the Pilates group presented significant increments in the 6-min walk test (p < 0.05). CONCLUSION: Pilates training did not change lipid or lipoprotein levels, but improved cardiorespiratory fitness of elderly women with dyslipidemia.